02631nas a2200385   4500000000100000008004100001260003400042653005700076653002100133653002800154100001700182700001200199700001400211700001400225700001200239700001400251700001400265700001000279700001300289700001400302700001200316700001500328700001900343700001200362700001500374700001400389700001100403700001200414245016600426856009200592300001200684490000700696520151700703022002502220       2023                            d  bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)1 aPiotrowski H1 aGwani N1 aYashiyi J1 aOluwole A1 aAyuba S1 aSurakat M1 aAdekeye O1 aLar L1 aKevin DG1 aLawong BD1 aNtuen U1 aIslamiat S1 aKafil-Emiola M1 aUsman H1 aTheobald S1 aThomson R1 aDean L1 aOzano K00aPromoting equity through inclusive learning, planning and implementing: lessons from Nigeria's mass drug administration programme for neglected tropical diseases  uhttps://academic.oup.com/inthealth/article-pdf/15/Supplement_1/i63/49573385/ihac053.pdf  ai63-i740 v153 a<p>Background: An inclusive, localised approach to planning and implementing equitable mass drug administration was developed through participatory action research (PAR). This new approach aligns with principles of learning health systems (LHS). Tools were co-developed to support scaling up the new approach across two Nigerian states. Lessons are distilled here to enable learning for other programmes.</p>

<p>Methods: Observations and reports by researchers (2019–2021) from 23 meetings and workshops, 8 in-depth interviews and 8 focus group discussions (FGDs) were used.</p>

<p>Results: Nine key steps of best practice were identified to promote inclusive LHS for participatory planning and implementing: utilise participatory research methodologies to facilitate community engagement and tailor interventions; develop tools and governance structures to support learning, teamwork and sustainability; strengthen capacity for participation and collaboration with space for dialogue and shared learning; undertake participatory planning to develop action plans; advocate for implementation; monitor action plans; review and act on successes and challenges; apply community evaluation to understand challenges and enablers and disseminate policy and programme changes.</p>

<p>Conclusions: PAR in disease programmes can support health systems to embed cyclical and iterative learning to sustainably address localised equity challenges. However, it takes time, resources and political commitment.</p>
  a1876-3413, 1876-3405